Organization
ROGUE COMMUNITY HEALTH
Active
Other names
RCH Main Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CALISA WARNKE (CFO ADMINISTRATION OFFICER)
(541) 842-7642
Entity
Organization
Contact information
Practice address
922 E MAIN ST, MEDFORD, OR 97504-7136
(541) 773-3863
(541) 773-2892
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 930-5611
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
09/08/2022
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